<form action="index.php" method="POST">
  <input type="hidden" name="option" value="web_service_test" />
  <input type="hidden" name="paso" value="2" />
  <table class="TablaReportes">
    <tr>
      <th colspan="3">TEST WEB SERVICE</th>
    </tr>
    <tr>
      <td>Funcion:</td>
      <td><input type="text" name="funcion" /></td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>Servicio:</td>
      <td>
        <select name="servicio">
          <option value="$strGSAIGCatalogos">Catalogos</option>
          <option value="$strGSAIGCotizacion">Cotizador</option>
          <option value="$strGSAIGImpresion">Impresion</option>
          <option value="http://sio.qualitas.com.mx/WsEmision/WsEmision.asmx">Emision Qualitas</option>
          <option value="http://qbcenter.qualitas.com.mx/QBCImpresion/Service.asmx">Impresion Qualitas</option>
          <option value="http://qbcenter.qualitas.com.mx/wsTarifa/wsTarifa.asmx">Tarifas Qualitas</option>
          <option value="https://server.anaseguros.com.mx/ananetws/service.asmx">Servicios ANA</option>
        </select>
      </td>
      <td>&nbsp;</td>
    </tr>
    <tr>
      <td>Parametro 1:</td>
      <td><input type="text" name="param[1][nom]" /></td>
      <td><input type="text" name="param[1][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 2:</td>
      <td><input type="text" name="param[2][nom]" /></td>
      <td><input type="text" name="param[2][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 3:</td>
      <td><input type="text" name="param[3][nom]" /></td>
      <td><input type="text" name="param[3][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 4:</td>
      <td><input type="text" name="param[4][nom]" /></td>
      <td><input type="text" name="param[4][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 5:</td>
      <td><input type="text" name="param[5][nom]" /></td>
      <td><input type="text" name="param[5][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 6:</td>
      <td><input type="text" name="param[6][nom]" /></td>
      <td><input type="text" name="param[6][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 7:</td>
      <td><input type="text" name="param[7][nom]" /></td>
      <td><input type="text" name="param[7][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 8:</td>
      <td><input type="text" name="param[8][nom]" /></td>
      <td><input type="text" name="param[8][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 9:</td>
      <td><input type="text" name="param[9][nom]" /></td>
      <td><input type="text" name="param[9][val]" /></td>
    </tr>
    <tr>
      <td>Parametro 10:</td>
      <td><input type="text" name="param[10][nom]" /></td>
      <td><input type="text" name="param[10][val]" /></td>
    </tr>
    <tr>
      <th colspan='3'><input type="submit" value="Generar" /></th>
    </tr>
  </table>
</form>